He aha ka mea e hana ʻia ma ka haukapila ma hope o ka hānau ʻana o kāu keiki liʻiliʻi? (Mālama no ka hānau hou ʻana)

Ua hiki mai ka lā nani a makamae loa o kou ola. Ua komo mai kahi kaikamahine a keikikāne paha i loko o kou mau lima. ʻAʻole hiki ke hōʻike ʻia ka hauʻoli āu e manaʻo nei i kēia manawa ma nā huaʻōlelo, ʻeā? I ka manawa like, aia kahi makaʻu a me ka hopohopo ma kekahi kihi o kou puʻuwai. ʻO nā nīnau e like me "He aha ka mea e hana ʻia i kēia manawa?", "Ua maikaʻi anei ke pēpē?", "He aha kā lākou e hana ai ma ka haukapila?" ke holo nei paha i loko o kou poʻo. He mea maʻamau loa kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i nā mea e hana ʻia ma ka haukapila ma hope o ka hānau ʻana o kāu keiki liʻiliʻi i kēia ao, ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

Nā mea e hana koke ma hope o ka hānau ʻana o kahi pēpē

Ma hope o kou hānau ʻana, e hoʻomaka koke ana ke limahana lapaʻau e mālama i kāu pēpē. He manawa koʻikoʻi loa kēia.

ʻO ka mea mua, hana lākou i kēia mau hana:

• E hoʻomaloʻo maikaʻi i ka pēpē: Ua lōʻihi ka noho ʻana o ka pēpē i loko o ka mehana o ka ʻōpū o ka makuahine. Ke puka mai ia, loli ka mahana o ke kaiapuni. No laila, he mea nui loa e hoʻomaloʻo koke i ka pēpē a mālama iā ia i ka mehana.
• Ke hoʻomaʻemaʻe ʻana i ke ala ea: Hoʻomaʻemaʻe pono ʻia ka ihu a me ka waha o ka pēpē i ka mucus me ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi a i ʻole kahi ʻāpana lole. Hana ʻia kēia e kōkua i ka pēpē e hanu maikaʻi me ka ʻole o ke keʻakeʻa.
• Ke ʻōwili ʻana i loko o kahi lole mahana: Ma hope o ka hoʻomaloʻo ʻana a me ka hoʻomaʻemaʻe ʻana i ka pēpē, e ʻōwili pono iā ia i loko o kahi lole mahana a maʻemaʻe.

A laila, e hele mai kekahi kauka keiki a i ʻole ke kahu maʻi i aʻo ʻia a nānā koke i ke olakino o ka pēpē. Inā loaʻa i ka pēpē kēia mau hōʻailona, ​​ʻaʻole pono ka mālama olakino ulia pōpilikia:

• Inā ua pau ka hāpai ʻana a ua hānau ʻia ke pēpē (ua pau nā pule he 37).
• Inā he hana maikaʻi o nā ʻiʻo (inā neʻe maikaʻi nā lima a me nā wāwae).
• Inā ʻaʻohe pilikia o ka hanu ʻana.
• Inā loaʻa ka helu Apgar ma kahi pae kūpono.

Inā kūpono kēia mau mea a pau, hiki iā ʻoe ke paʻa koke i kāu pēpē. Ua kapa ʻia kēia ʻo ka pilina ʻili-i-ʻili, a i ʻole Kangaroo Care . He nui nā pono o kēia.

• Kōkua ia i ka pēpē e maʻa i ke kaiapuni hou ma hope o ka puka ʻana mai loko mai o ka ʻōpū.
• Hoʻoikaika loa ka pilina ma waena o ka makuahine a me ke pēpē.
• Kōkua nō hoʻi kēia i ka hoʻonui ʻana i ka hana waiū o ka makuahine.

Inā paha ua hānau ʻoe i kāu pēpē ma o ka hānau maʻamau a i ʻole ma ke ʻoki Caesarean, hiki iā ʻoe ke noi i kēia hoʻopā ʻili-i-ʻili i ka hikiwawe loa.

He aha ka helu Apgar?

I hoʻokahi minuke a me ʻelima mau minuke ma hope o ka hānau ʻana, e hana ke kauka a kahu maʻi paha i ka hoʻāʻo Apgar. He hoʻāʻo maʻalahi kēia e hāʻawi i kahi manaʻo wikiwiki o ke olakino o ka pēpē. He maʻalahi loa ka hoʻomanaʻo ʻana i nā mea 5 āna e nānā ai. Loaʻa ia mai ka huaʻōlelo APGAR.

Hāʻawi ʻia kēlā me kēia o kēia mau wahi i kahi helu o 0, 1, a i ʻole 2. A laila, hoʻohui ʻia nā helu 5 a pau. Mai ka helu holoʻokoʻa (ʻoi loa he 10), hoʻoholo nā kauka i ke ʻano o ka nānā e pono ai ka pēpē i kēlā manawa. ʻO ka helu o 7 a ʻoi aku paha, ʻo ia hoʻi ke kūlana maikaʻi loa nei ka pēpē. Akā, mai hopohopo inā haʻahaʻa ka helu. ʻO ia hoʻi, pono nā kauka e hana i kekahi mea, e like me ke kōkua iki ʻana i ka pēpē i ka hanu ʻana.

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Nā lāʻau lapaʻau koʻikoʻi i hāʻawi ʻia i nā pēpē ma ka haukapila

I mea e pale ai i ka pēpē mai nā maʻi, hāʻawi ʻia kekahi mau lāʻau lapaʻau koʻikoʻi ma hope koke iho o ka hānau ʻana.

Nā kulu maka

Ke hānau ʻia kahi pēpē, hiki i nā bacteria like ʻole ke komo i loko o nā maka i ko lākou hele ʻana ma ke kahawai hānau. Hiki i kēia mau mea ke hana i nā maʻi maka koʻikoʻi, i kekahi manawa e lilo ai ka ʻike. No ka pale ʻana i kēia, ua hoʻopili ʻia nā kulu antibiotic a i ʻole ka poni i nā maka o ka pēpē.

ʻO ka pana Vitamin K

He haʻahaʻa loa nā pae o ka wikamina K i loko o ke kino o nā pēpē hānau hou. He mea nui ka wikamina K no ke kāpili ʻana o ke koko. No laila, i mea e pale aku ai i ke kahe koko nui (hemorrhage) e hiki ke hana ma muli o ka nele o ka wikamina K, hāʻawi ʻia nā pēpē āpau i kahi inikini wikamina K ma hope koke iho o ka hānau ʻana. Inā loaʻa kēia kahe koko i loko o ka lolo, hiki iā ia ke hōʻeha mau loa i ka lolo. ʻO ia ke kumu he mea nui kēia inikini.

Nā lāʻau pale no nā pēpē hānau hou

Hoʻomaka koke ka papahana pale ʻana no ka pale ʻana i ke ola o kahi pēpē ma hope o ka hānau ʻana.

• Palekana Hepatitis B: Mālama kēia i ka pēpē mai ka maʻi hepatitis B. Hiki i kēia maʻi ke hoʻoulu i ka maʻi akepaʻa mau. Inā loaʻa i ka makuahine a i ʻole ka makuakāne ka maʻi a i ʻole, hiki i ka pēpē ke loaʻa iā ia ma o nā ʻano ʻē aʻe, no laila ke ʻōlelo nei ka World Health Organization e hāʻawi ʻia kēia palekana i nā pēpē āpau i ka wā hānau. He palekana ʻekolu lāʻau kēia. Hāʻawi ʻia ka mua i ka wā hānau, a hāʻawi ʻia nā mea ʻelua ma mua o ka piha ʻana o ka pēpē i hoʻokahi makahiki.
• Palekana RSV: I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i kahi antibody monoclonal i kapa ʻia ʻo Nirsevimab e pale i kāu pēpē mai ka maʻi respiratory syncytial (RSV) . Pono kēia e:
• Inā hānau ʻia ka pēpē i ka manawa e laha ai ka maʻi RSV (ʻo ka manawa maʻamau i ka wā monsoon ma Sri Lanka).
• Inā ʻaʻole i loaʻa i ka makuahine ka lāʻau pale RSV kūpono i ka wā hāpai.

Nānā Hana Maʻamau no nā Keiki Hānau Hou

Aia kekahi mau maʻi i ʻike ʻole ʻia i ka wā hānau, akā hiki ke mālama maʻalahi a ho'ōla ʻia inā ʻike mua ʻia. No ka ʻike ʻana i kēia mau mea, hāʻawi ʻia kēlā me kēia pēpē i kahi moʻo o nā hoʻāʻo. Hana ʻia kēia ma ka lawe ʻana i kahi kulu koko liʻiliʻi mai ke kuʻekuʻe wāwae o ka pēpē .

Mai hopohopo inā hōʻike kēia mau hoʻokolohua i kahi pilikia. ʻO ke ʻano kēia inā he pilikia, hiki ke ʻike koke ʻia a hiki ke hoʻomaka ka lāʻau lapaʻau ma mua o ka hana ʻia ʻana o kekahi pōʻino i ka pēpē.

ʻO kekahi o nā kūlana olakino nui i hoʻāʻo ʻia me kēia hāpana koko:

• ʻO ka Phenylketonuria (PKU)
• ʻO ka hypothyroidism hānau ʻole
• Maʻi ʻeha o ke kelepona ʻokiʻoki
• ʻO ka fibrosis cystic
• Nā maʻi metabolic ʻē aʻe (nā hewa hānau o ka metabolism)

Eia kekahi, ua hana ʻia kekahi mau hoʻokolohua ʻē aʻe:

• Hoʻāʻo lohe: I mea e pale ai i nā pilikia ʻōlelo a me ka ʻōlelo i ka wā e hiki mai ana, nānā ʻia ka lohe o ka pēpē.
• Hoʻāʻo Pulse Oximeter: Hoʻokomo ʻia kahi mea liʻiliʻi e like me ke clip ma ka manamana lima o ka pēpē e ana i ka pae oxygen i loko o ke koko. Hiki i kēia ke kōkua i ka ʻike ʻana i ke alo o ka maʻi puʻuwai hānau koʻikoʻi (CCHD), kahi maʻi kakaikahi hiki ke paʻakikī ke ʻike.
• Hoʻāʻo no ka jaundice:Nānā ʻia ka pae bilirubin koko o ka pēpē e ʻike inā ua kiʻekiʻe. He melemele iki ka ʻili o nā pēpē he nui, akā he mea nui kēia hoʻāʻo e hoʻoholo ai inā aia ia ma kahi pae weliweli.

Nā mea ʻē aʻe e hana ʻia ana i kou wā ma ka haukapila

Ma waho aʻe o ka nani o ke nānā aku i nā lole liʻiliʻi āu i hoʻopaʻa pono ai i loko o kāu ʻeke haukapila, e kū ana kāu pēpē i kekahi mau mea ʻē aʻe.

Ka hānai ʻana

I mea e pale aku ai i ka maloʻo ʻana o ka wai, pono e hānai pinepine ʻia kāu keiki hānau hou. Inā ʻoe e hānai waiū ana, e mālama nā limahana i ka lōʻihi a me ka pinepine o kou hānai ʻana. Inā ʻoe e hānai waiū ana i ka waiū formula, e ʻike lākou i ka nui o ka waiū āu e hāʻawi nei. Mai hilahila e ʻimi i ke kōkua mai kahi loea lactation ma ka haukapila nāna e hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo no ka hānai waiū. Inā he makuahine manawa mua ʻoe, he makuahine manawa ʻelua, a he makuahine manawa ʻekolu paha, e aʻo paha ʻoe i kahi mea hou.

ʻAuʻau Mua

Ua ʻōlelo ka World Health Organization (WHO) e kali ma ka liʻiliʻi he 24 mau hola ma mua o ka ʻauʻau ʻana i kahi pēpē. I ka wā ma mua, ua ʻauʻau koke ʻia nā pēpē ma hope o ka hānau ʻana. Akā, ʻo ka hoʻopaneʻe ʻana i ka ʻauʻau ʻana:

• Kōkua i ka hoʻoponopono ʻana i ka mahana o ke kino o ke pēpē.
• Pale i ka maloʻo ʻana o ka ʻili.
• Ua ʻike ʻia he hopena kēia i ka holomua o ka hānai waiū.

No ka mea, he hoʻokahi a ʻelua paha pule e maloʻo ai ke kaula piko o ke pēpē, ʻoi aku ka maikaʻi o ka hāʻawi ʻana iā ia i kahi ʻauʻau huʻahuʻa i ʻole e pulu.

Mekonium

Nānā pono nā kauka inā he neʻe ʻōpū o kahi pēpē i loko o nā hola 24-48 mua ma hope o ka hānau ʻana. Ua kapa ʻia kēia ʻōpala mua he meconium . He ʻeleʻele, mānoanoa, a pipili . Hoʻi ia i kona kala melemele maʻamau ma hope o ʻelua a ʻekolu mau lā.

ʻOkipoepoe ʻana

Inā hānau ʻia he pēpē kāne, me ka ʻae ʻana o nā mākua, hiki ke hana ʻia ke ʻoki poepoe i loko o hoʻokahi a ʻelua paha lā ma hope o ka hānau ʻana. Pili kēia i ka wehe ʻana i ka ʻili mua o ka penis ma ke ʻoki kino. No ka hana ʻana i kēia, pono e hāʻawi ʻia ka pēpē i kahi inikini huaora K.

Āhea ʻoe e hoʻi ai i ka home mai ka haukapila mai?

ʻO ka maʻamau, hiki i kahi pēpē olakino ke hoʻi i ka home i loko o ʻelua a ʻekolu mau lā. Eia nō naʻe, inā he mau pilikia no ka makuahine a i ʻole ke pēpē, hiki ke lōʻihi ka noho ʻana ma ka haukapila.

ʻO ka lawe ʻana i kāu keiki liʻiliʻi i ka home mai ka haukapila mai kekahi o nā manawa hoihoi a weliweli loa o kou ola. Manaʻo paha ʻoe e pono ʻoe e ʻike i nā mea āpau. E hilinaʻi i kāu kauka a me nā limahana kahu maʻi. He nui ko lākou ʻike me kēia mau mea āpau.

ʻOiai paha e wikiwiki ana ʻoe e hoʻi i ka home a hoʻomaka i kou ola hou, makemake nā kauka e hōʻoia i ka holo pono ʻana o nā mea āpau ma mua o ka hoʻouna ʻana iā ʻoe a me kāu pēpē i ka home. Manaʻo mau lākou i kou pono a me kāu pēpē. Mai makaʻu e nīnau iā lākou i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi.